MRS. DESTINY RUOSA MITCHELL APRN-CNP
NPI 1114309317
Nurse Practitioner - Family in Shawnee, OK

Q: What is Destiny Mitchell's NPI number?

The NPI number for Destiny Mitchell is 1114309317. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Q: What is Destiny Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Mitchell was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment

781 GRAND CASINO BLVD, SHAWNEE, OK 74804(405) 964-5770(405) 964-5788 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Destiny Ruosa Mitchell Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DESTINY RUOSA MITCHELL APRN-CNP (NPI 1114309317) is an individual family provider in Shawnee, Oklahoma, licensed in Oklahoma (79374) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shawnee, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114309317

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DESTINY RUOSA MITCHELLCredential: APRN-CNP

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing Address781 Grand Casino BlvdShawnee, OK 74804-1005 · (405) 964-5770 · Fax (405) 964-5788

Phone(405) 964-5770

Fax(405) 964-5788

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 24, 2015

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1114309317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 79374

781 GRAND CASINO BLVD, Shawnee, OK 74804

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Secondary Practice Location 1

Location 12307 Gordon Cooper DrShawnee, OK 74801-9007 · Phone (405) 273-5236

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Destiny Ruosa Mitchell Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002122926

PECOS Enrollment IDI20150908001886, I20161217000192

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

46 services35 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

44 services36 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

38 services29 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

31 services24 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

27 services21 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist